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Individual

HEATHER LYNNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD/PHD

Contact information

Practice address
5841 S MARYLAND AVE # MC3026, CHICAGO, IL 60637-1447
(773) 702-8544
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.071364
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125071364
IL

Other

Enumeration date
06/18/2017
Last updated
06/10/2019
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